DCON 2022 Virtual-Only Registration

$85.00

  • *First Name

    *Last Name

    *Email

    Please do not use your school email address due to potential firewall restrictions.

    *Confirm email address

    Please retype the email inputted above to verify.

    *Grade

    If not applicable, please select "other"

    *Attendee Type

    *Club Name

    Please make sure you select the correct school. If not applicable, please select "other"

    *Division

    If not applicable, please select "other"

    *Are you one of your club's two voting delegates?

    Each Key Club in the PNW is allotted two delegates for the voting of the next district executive officers. Your club should decide on two delegates prior to individuals registering. If there is a change in delegates, please email convention@pnwkeyclub.org prior to the start of convention.

    *Shirt Size

    *Code of Conduct

    Please read the Code of Conduct before proceeding. Selecting this box serves as your signature, there is no need to upload a signed copy of this form.

    *Photo Release

    Please read the Photo Release before proceeding. Selecting this box serves as your signature, there is no need to upload a signed copy of this form.

    *Street Address

    Apartment, suite, unit, etc. (optional)

    *Town/City

    *State

    *ZIP

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